Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm)

The Billing Coordinator reports to the Billing Manager and provides administrative support to the Billing and Collections department.

Primary Responsibilities:

• Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each and every internal and external customer
• Represents the Company in a professional manner, following all Company policies and procedures
• Uses, protects, and discloses Optum Care patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Ability to establish and maintain effective working relationship with staff and management
• Ensures the timely submission of primary and secondary claims
• Maintains current working knowledge of CPT and ICD 10 codes, required modifiers and encounter data
• Performs electronic claims submission
• Notifies management of issues arising from erroneous codes, missing information and error/edits messages
• Reviews insurance claim forms for accuracy and completeness. Makes necessary corrections
• Demonstrates and applies knowledge of Medicare and Medicaid guidelines in reviewing claims to ensure appropriate use of modifiers and CPT/ICD 10 codes
• Review medical documentation to confirm appropriateness of codes when necessary
• Corrects claims appearing on Edit Reports
• Communicates system and claim formatting issues to the IT department and Billing Manager
• Serves as a resource to Optum Care staff on general billing guidelines
• Must be dependable and well organized
• Performs additional duties as assigned
  

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High school diploma, G.E.D. or equivalent. Includes special certification required for specific jobs
• 1+ years of related job experience
• Experience with CPT/ICD 10 coding

Preferred Qualifications:

• CCA or CPC certification
• Some college education
• Computer experience (MSWord or other word processing programs)
• HMO/managed care, Medicare experience
• Athena or Allscripts system experience
• PCP and Hospitalist billing and coding experience

Knowledge, Skills, Abilities:

• Computer literate
• Microsoft Word skills
• Knowledge of CPT and IDC10 codes
• Working knowledge of business billing office duties
• Working knowledge of Medicare, Medicaid and Managed care
• Good verbal and written communication skills
• Organized and detail oriented
• Ability to work under time constraints
• Bilingual
  

Careers with Optum . Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.